QFCS Application Form 2015
Quality in Food Chemistry Program
LGC is the accredited
provider of the PT scheme
Please complete all sections below and return to ATCC by fax or email.
ATCC Acct. No.:
Purchase order no.:
(required)
Portal ID No.:
(optional)
Samples
Round
Ship
Date
Reporting PT-FC-760 PT-FC-761 PT-FC-762 PT-FC-763 PT-FC-770 PT-FC-772 PT-FC-773 PT-FC-774 PT-FC-775 PT-FC-776 PT-FC-777*
Deadline
FC226
09 Feb
06 Mar
FC229
11 May
05 Jun
FC232
03 Aug
28 Aug
FC235
02 Nov
27 Nov
Round
Ship
Date
FC226
09 Feb
06 Mar
FC229
11 May
05 Jun
FC232
03 Aug
28 Aug
FC235
02 Nov
27 Nov
Samples
Reporting
Deadline
PT-FC-778*
PT-FC-779*
PT-FC-780
PT-FC-781*
PT-FC-782
TRIAL
PT-FC-783*
TRIAL
PT-FC-784*
TRIAL
PT-FC-785
TRIAL
PT-FC-786*
TRIAL
Not available
1
Please indicate the number of samples required in the relevant boxes above.
Sample
Target Analytes
Presentation
Sorbic Acid (E200 – E203);
760
Benzoic Acid (E210 – E213);
Preservatives
Sulfur Dioxide (E220 – E228)
100ml liquid test
material
761
Sweeteners
Acesulfame K (E950);
Aspartame (E951);
Saccharin (E954)
100ml liquid test
material
762
Food
colorants
Ponceau 4R (E124);
Sunset Yellow (E110);
Indigo Carmine (E132)
100ml liquid test
material
763
Food
colorants
Allura Red (E129);
Tartrazine (E102);
Brilliant Blue (E133)
100ml liquid test
material
770
Nutritional
Analysis cereal matrix
772
Nutritional
Analysis ‘mixed’ matrix
Fat; Ash; Salt; Protein; Moisture;
Total Dietary Fibre; Total Sugars; Carbohydrate;
Energy; Sodium; Phosphate;
100g cereal
based material
Vitamins A (as retinol); B1 (Thiamine); B2
(Riboflavin); B3 (Niacin); B5 (Pantothenic Acid);
B6; B9 (Folic acid); B12; C (as ascorbic acid);
D; Iron
Rounds FC229
and FC235
ONLY
Fat; Ash; Salt; Protein;
Moisture; Total Dietary Fibre;
Total Sugars; Carbohydrate;
Energy; Sodium; Phosphate
150g ‘Ready to
eat’ product
Sample
Target Analytes
773
Pesticides
Pesticides (Matrix: apple in FC226; lettuce in FC229; citrus
fruit/vegetable
fruit in FC232; peppers in FC235)
matrix
774
Water activity
- food matrix
Presentation
100g fruit/
veg material
+100g blank
Water activity
50g cured meat
(Matrix cured meat in FC226 and FC232; Cereal product/ cereal/
in FC229; Hard cheese in FC235)
hard cheese
775
Nutritional
Analysis in
flour
Fat; Ash; Protein; Moisture;
Calcium; Iron
100g flour
material
776
Nutritional
Analysis bread/cake
matrix
Fat; Ash; Protein; Moisture;
Acidity; Sodium; Chloride;
Calcium; Iron; Total Dietary
Fibre; Vitamins B1; B2; B3
100g bread/
cake material
777*
Pesticides green tea
Pesticides
50g dried green
tea + 50g blank
778*
Edible Oil &
Fat Quality
Water; Free fatty acids;
Saponification value;
Unsaponifiable matter;
Anisidine value; Colour; FAMES
Iodine value; Peroxide value;
150g edible oil
or fat material
779*
Aflatoxins in
nuts
Aflatoxins B1; B2; G1; G2
50g nut material
+ 50g blank
ATCC 10801 University Boulevard, Manassas, Virginia 20110-2209 USA
Telephone: 800.638.6597, Fax: 703.365.2750
E-mail: [email protected], Website: www.atcc.org
Page 1 of 3
V1
QFCS Application Form 2015
Quality in Food Chemistry Program
LGC is the accredited
provider of the PT scheme
Sample
780*
Metals
analysis in
green tea
Target Analytes
Presentation
Arsenic; Cadmium; Mercury; Lead; Selenium
50g dried green
tea matrix
781*
Gluten
Gluten in flour
782
Nutritional
analysis –
mixed fat
spread
100g flour
material
Salt; Water; pH; Vitamin A; Vitamin D;
Saturates; Mono-unsaturates; Poly-unsaturates;
Total trans fatty acids; Omega 3; Omega 6
783*
Tomato paste/ pH; Brix; Total solids; Ash; Salt
puree
100g mixed fat
spread
100g tomato
paste/puree
784*
Metals in
cereals
Arsenic; Cadmium; Lead; Mercury
50g cereal
product
785
Metals in oil
Arsenic; Cadmium; Lead; Mercury
50g edible oil
786*
Metals in
dried fruit
Arsenic; Cadmium; Lead; Mercury
50g dried fruit
product
**Please note that these samples are not currently within the scope of LGC Standards’ UKAS accreditation and the trial samples 782, 783, 784, 785 and
786 will be run subject to the registration of a sufficient number of participants.
For details on the full technical specification of the program, please refer to the QFCS Program Description.
Please fill in your address details below:
Send Test Materials to:
Send Invoices to:
Contact name:
Contact name:
Department:
Department:
Company:
Company:
Address:
Address:
Town/City:
Town/City:
Post/Zip Code:
Post/Zip Code:
Country:
Country:
Tel:
Tel:
Fax:
Fax:
E-mail:
E-mail:
Send Report Notifications to:
Contact name:
E-mail*:
*An email will be sent to this address to notify when the report is available
to download from PORTAL, the online reporting system
ATCC 10801 University Boulevard, Manassas, Virginia 20110-2209 USA
Telephone: 800.638.6597, Fax: 703.365.2750
E-mail: [email protected], Website: www.atcc.org
Page 2 of 3
V1
QFCS Application Form 2015
Quality in Food Chemistry Program
LGC is the accredited
provider of the PT scheme
Dollar Prices ($)
Sample Reference
Price per sample
760 - 781
$225.00
NEW 782 - 786 TRIAL
$75.00
Repeat/Duplicate samples
Price per sample
All
$75.00
Please note:
•
•
•
•
•
•
•
•
•
•
All prices stated are exclusive of VAT and carriage.
VAT (charged at the prevailing rate) is payable by all participants based in the UK and by those in the rest of the
European Union if a VAT Registration Number is not provided.
Participants will pay an additional fee to cover courier charges. If you would like a guide as to these charges, please
contact ATCC at [email protected].
All courier charges set by LGC Standards Proficiency Testing do not include local import charges, taxes (etc.), which
will be covered by the participant.
Do not send remittance with this form, you will be invoiced subsequently after the despatch of each round.
No refunds will be given for failure to take part in any round of the PT program.
LGC Standards Proficiency Testing reserves the right to not send samples or the report for previous samples to any
participant that has not remitted payment within the terms stated on the invoice.
LGC Standards Proficiency Testing cannot guarantee the number of participants that will return results for any
particular parameter in each round.
The prices stated are for reporting results and receiving reports electronically via PORTAL (internet reporting).
If alternative data entry or reporting methods are required, further charges apply. Please contact ATCC at
[email protected] for the current charges.
By signing this application form, you are agreeing to comply by LGC Standards’ Standard Terms and Conditions for
the Supply of Laboratory Quality Products and Services. Furthermore, for test samples containing microorganisms
with a bio safety level (BSL) of 1 or 2, you are confirming that you are complying with applicable laws and regulations
when using such materials.
Signature
Date
ATCC 10801 University Boulevard, Manassas, Virginia 20110-2209 USA
Telephone: 800.638.6597, Fax: 703.365.2750
E-mail: [email protected], Website: www.atcc.org
Page 3 of 3
V1